Test bank
Alexander’s Care of
M
the Patient inSurgery
ED
16th Edition Rothrock
ST
ISBN: 978-0275971083
U
D
Y
,Chapter 01: Concepts Basic to Perioperative Nursing
Test Bank
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that
guide patient care. Select the statement that best describes the dynamic relationship within the
model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
ANS: A
The Perioperative Patient Focused Model consists of domains or areas of nursing concern:
M
nursing diagnoses, nursing interventions, and patient outcomes. These domains are in
continuous interaction with the health system that encircles the focus of perioperative nursing
practice—the patient.
ED
REF: p. 3
2. The Association of Perioperative Registered Nurses’ (AORN) Standards of Perioperative
Nursing Practice that describes nursing interactions, interventions, and activities with
patients falls under which standards category? a. Evidence-based
ST
b. Process
c. Outcome
d. Structural
ANS: B
Process standards relate to nursing activities, interventions, and interactions. They are used to
U
explicate clinical, professional, and quality objectives in perioperative nursing.
REF: p. 3
D
3. Which order best describes the process used to implement evidence-based professional
nursing?
Y
Identify issue, analyze scientific evidence, implement change, evaluate process
ANS: D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to
collect and evaluate the best evidence to design and implement a practice change, and to
evaluate the process.
REF: p. 15
Stuvia.com - The Marketplace to Buy and Sell your Study Material
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice
for their unit. The best process to gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANS: C
Perioperative nurses have an ethical responsibility to review practices and to modify them
based upon the best available scientific evidence. Using research to guide practice is called
evidence-based practice (EBP).
REF: p. 10
5. The cardiac team is developing a standardized sterile back table setup and is unable to find
sufficient research evidence for their project. Where might they look for information on
best practices?
a. Survey regional surgical technology programs for their back table models
M
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Standards and Recommended Practices on sterilization
d. Consult with facility instrument vendor representatives for their advice
ED
ANS: B
When there is not enough evidence to guide practice, perioperative nurses should consider
gathering information from varied trusted sources that reflect best practices.
REF: pp. 10-11
ST
6. How do institutional standards of care, such as policies and procedures, differ from national
standards, such as AORN’s Standards of Perioperative Nursing Practice?
a. They are written by nurses.
b. They are written specifically to address responsibilities and circumstances.
U
c. They are collaborative and collective agreement statements.
d. They are rarely based on research.
D
ANS: B
Institutional standards apply to the system or facility that develops them and can be directive
about specific actions in specific circumstances; national standards provide generalized
Y
authoritative statements that can be implemented in all settings.
REF: p. 10
7. Which of the following actions best describes an element of the perioperative nursing
assessment?
a. Scanning the surgical schedule for the day before morning report
b. Reviewing the patient medical record
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Assessment is the collection and analysis of relevant health data about the patient. Sources of data
may be a preoperative interview with the patient and the patient’s family; review of the planned
surgical or invasive procedure; review of the patient’s medical record; examination of the results of
diagnostic tests; and consultation with the surgeon and anesthesia provider, unit nurses, or other
personnel.
REF: p. 3
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at
high risk for harm because of several factors related to her preexisting conditions and
overall health status. As part of developing a plan to guide her care, the nurse uses
standardized descriptive terms. This step of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
ANS: A
M
Nursing diagnosis is the process of identifying and classifying data collected in the assessment
in a way that provides a focus to plan nursing care.
REF: p. 5
ED
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated
crutch-walking activities. The teaching activities are what stage of the nursing process?
a. Nursing assessment
b. Nursing implementation
ST
c. Nursing outcome preparation
d. Nursing evaluation
ANS: B
Implementation is performing the nursing care activities and interventions that were planned
and responding with critical thinking and orderly action to changes in the surgical procedure,
U
patient condition, or emergencies. Implementation is the “work” of nursing.
REF: p. 6
D
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the
perioperative nurse learned that the patient was latex sensitive. Based on this knowledge, the
Y
nurse reviewed the pick/preference list and reassembled the surgical case cart setup to
reflect this new information and change in care delivery. Which two phases of the nursing
process are represented in the nurse’s actions?
a. Assessment and planning
b. Assessment and implementation
c. Planning and implementation
d. Nursing diagnosis and intervention
ANS: C
Planning is preparing in advance for what will or may happen and determining the priorities
for care. Planning is based on patient assessment results in knowing the patient and the
Alexander’s Care of
M
the Patient inSurgery
ED
16th Edition Rothrock
ST
ISBN: 978-0275971083
U
D
Y
,Chapter 01: Concepts Basic to Perioperative Nursing
Test Bank
MULTIPLE CHOICE
1. The Perioperative Patient Focused Model presents key components of nursing influence that
guide patient care. Select the statement that best describes the dynamic relationship within the
model.
a. The patient experience and the nursing presence are in continuous interaction.
b. Structure, process, and outcome are the foundation domains of the model.
c. The perioperative nurse is the central dynamic core of the model.
d. The interrelated nursing process rings bind the patient to the model.
ANS: A
The Perioperative Patient Focused Model consists of domains or areas of nursing concern:
M
nursing diagnoses, nursing interventions, and patient outcomes. These domains are in
continuous interaction with the health system that encircles the focus of perioperative nursing
practice—the patient.
ED
REF: p. 3
2. The Association of Perioperative Registered Nurses’ (AORN) Standards of Perioperative
Nursing Practice that describes nursing interactions, interventions, and activities with
patients falls under which standards category? a. Evidence-based
ST
b. Process
c. Outcome
d. Structural
ANS: B
Process standards relate to nursing activities, interventions, and interactions. They are used to
U
explicate clinical, professional, and quality objectives in perioperative nursing.
REF: p. 3
D
3. Which order best describes the process used to implement evidence-based professional
nursing?
Y
Identify issue, analyze scientific evidence, implement change, evaluate process
ANS: D
Evidence-based practice is a systematic, thorough process by which to identify an issue, to
collect and evaluate the best evidence to design and implement a practice change, and to
evaluate the process.
REF: p. 15
Stuvia.com - The Marketplace to Buy and Sell your Study Material
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
4. The ambulatory surgery unit is planning to develop a standardized skin preparation practice
for their unit. The best process to gather scientific information is to:
a. conduct a survey of skin prep policies at the next AORN chapter meeting.
b. review their surgical site infection data from the last 6 months.
c. conduct a literature search on antimicrobial agents and infection prevention.
d. review the scientific literature from the leading manufacturers of prep solutions.
ANS: C
Perioperative nurses have an ethical responsibility to review practices and to modify them
based upon the best available scientific evidence. Using research to guide practice is called
evidence-based practice (EBP).
REF: p. 10
5. The cardiac team is developing a standardized sterile back table setup and is unable to find
sufficient research evidence for their project. Where might they look for information on
best practices?
a. Survey regional surgical technology programs for their back table models
M
b. Review case studies and expert opinions on sterile back table setups
c. Review AORN’s Standards and Recommended Practices on sterilization
d. Consult with facility instrument vendor representatives for their advice
ED
ANS: B
When there is not enough evidence to guide practice, perioperative nurses should consider
gathering information from varied trusted sources that reflect best practices.
REF: pp. 10-11
ST
6. How do institutional standards of care, such as policies and procedures, differ from national
standards, such as AORN’s Standards of Perioperative Nursing Practice?
a. They are written by nurses.
b. They are written specifically to address responsibilities and circumstances.
U
c. They are collaborative and collective agreement statements.
d. They are rarely based on research.
D
ANS: B
Institutional standards apply to the system or facility that develops them and can be directive
about specific actions in specific circumstances; national standards provide generalized
Y
authoritative statements that can be implemented in all settings.
REF: p. 10
7. Which of the following actions best describes an element of the perioperative nursing
assessment?
a. Scanning the surgical schedule for the day before morning report
b. Reviewing the patient medical record
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Assessment is the collection and analysis of relevant health data about the patient. Sources of data
may be a preoperative interview with the patient and the patient’s family; review of the planned
surgical or invasive procedure; review of the patient’s medical record; examination of the results of
diagnostic tests; and consultation with the surgeon and anesthesia provider, unit nurses, or other
personnel.
REF: p. 3
8. A frail 76-year-old diabetic woman is scheduled for major surgery. She is vulnerable and at
high risk for harm because of several factors related to her preexisting conditions and
overall health status. As part of developing a plan to guide her care, the nurse uses
standardized descriptive terms. This step of the nursing process is called:
a. nursing diagnosis.
b. nursing assessment.
c. nursing outcome.
d. nursing intervention.
ANS: A
M
Nursing diagnosis is the process of identifying and classifying data collected in the assessment
in a way that provides a focus to plan nursing care.
REF: p. 5
ED
9. During the admission interview, the nurse initiated the discharge teaching and demonstrated
crutch-walking activities. The teaching activities are what stage of the nursing process?
a. Nursing assessment
b. Nursing implementation
ST
c. Nursing outcome preparation
d. Nursing evaluation
ANS: B
Implementation is performing the nursing care activities and interventions that were planned
and responding with critical thinking and orderly action to changes in the surgical procedure,
U
patient condition, or emergencies. Implementation is the “work” of nursing.
REF: p. 6
D
10. While conducting the preoperative interview with a patient scheduled for a septoplasty, the
perioperative nurse learned that the patient was latex sensitive. Based on this knowledge, the
Y
nurse reviewed the pick/preference list and reassembled the surgical case cart setup to
reflect this new information and change in care delivery. Which two phases of the nursing
process are represented in the nurse’s actions?
a. Assessment and planning
b. Assessment and implementation
c. Planning and implementation
d. Nursing diagnosis and intervention
ANS: C
Planning is preparing in advance for what will or may happen and determining the priorities
for care. Planning is based on patient assessment results in knowing the patient and the
